Individual provider Active NPI

Adrian Carrazana, RMHI

  • Mental Health Counselor
  • Melbourne, FL
National Provider Identifier
1548082266
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH26830 Issued in FL
Practice address
2955 Pineda Plaza Way Ste 209
Melbourne, FL 32940-7307
Phone
(321) 610-4602
NPI assigned
Oct 25, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH26830 FL Primary

Addresses

Primary practice location

2955 Pineda Plaza Way Ste 209
Melbourne, FL 32940-7307

Mailing address

1350 SW 122ND Ave Apt 119
Miami, FL 33184-2825
Phone (786) 291-0514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IMH26830FLMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1548082266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 SW 122ND AVE APT 119",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842825",
            "telephone_number": "786-291-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 PINEDA PLAZA WAY STE 209",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407307",
            "telephone_number": "321-610-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRAZANA",
        "first_name": "ADRIAN",
        "credential": "RMHI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-10-25",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH26830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.